Yubbu P, Jin OY, Itam MA, Leman H, Tiong KG (2019) Two Case Reports of Emergency Stenting of Superior Vena Cava Obstruction Following Cardiac Surgery. Int J Clin Cardiol 6:139.


© 2019 Yubbu P, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESSDOI: 10.23937/2378-2951/1410139

Two Case Reports of Emergency Stenting of Superior Vena Cava Obstruction Following Cardiac Surgery

Putri Yubbu1*, Ong Yun, Jin1, Mohd Amin Itam2, Hamdan Leman2 and Koh Ghee Tiong2

1Department of Paediatrics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Malaysia

2Cardiology Unit, Serdang Hospital, Malaysia


Superior vena cava (SVC) obstruction is a recognized complication following cardiac surgery that may result in significant clinical sequelae if not treated early. Transcatheter stenting is rapidly becoming the treatment of choice, considering its reduced post-procedure morbidity and faster recovery time. In early postoperative vascular lesion, primary stenting is preferred over balloon angioplasty to prevent fresh suture line disruption. In paediatric, small patient sizes as well as the need for future vessel growth, complicate the use of stents in this group of patients. We present two cases of successful relief from severe SVC obstruction that occurred early after cardiac surgical repair. Case 1, is a 2-month-old girl with a large perimembranous ventricular septal defect (VSD) and patent ductus arteriosus (PDA), who underwent VSD closure and PDA ligation but was complicated by SVC tear during cannulation. Case 2 is a 35-year-old gentleman with a sinus venosus atrial septal defect, who underwent Warden procedure but developed SVC obstruction at SVC-right atrium anastomosis site. The presentation and management of these patients will be highlighted in these two cases.